Black Hawk-grundy Mental Health Center

NPI 1316944598 - Clinic/Center - 261QM0801X

NPI Details
NPI 1316944598
Enumeration Date 07/05/2005
Last Updated 11/08/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name THOMAS CHARLES THOMAS
Position EXECUTIVE DIRECTOR
Phone (319) 234-2893
Fax (319) 234-0354
Practice Location
3251 W 9TH ST
WATERLOO IA, 50702-5310, US
Phone (319) 234-2893
Fax (319) 234-0354
Business Location
3251 W 9TH ST
WATERLOO IA, 50702-5310, US
Phone (319) 234-2893
Fax (319) 234-0354
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
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According to our database, Black Hawk-grundy Mental Health Center NPI is 1316944598, taxonomy code is 261QM0801X Black Hawk-grundy Mental Health Center physically located at 3251 W 9th St, Waterloo IA, 50702-5310. NPI Number 1033115704 has the healthcare provider type.

1316944598 NPI number is provided on an as is basis without warranty of any kind. 1316944598 is maintained by the National Plan & Provider Enumeration System. The contents of Black Hawk-grundy Mental Health Center are for informational purposes only.